Active NPI
Adnan Restum
- Emergency Medicine Pharmacist
- Dearborn, MI
National Provider Identifier
1801646013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Pharmacist
- License
- 5302415764
- Practice address
- 835 Mason St Ste A220
Dearborn, MI 48124-2246 - Phone
- (313) 680-6104
- NPI assigned
- Mar 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302415764 | MI | |
| Emergency Medicine Pharmacist | 1835E0208X | 5302415764 | MI | Primary |
Addresses
Primary practice location
835 Mason St Ste A220
Dearborn, MI 48124-2246
Mailing address
835 Mason St Ste A220
Dearborn, MI 48124-2246
Phone (313) 680-6104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302415764 | MI | MD | Medical license number |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swiftscript RX, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Dearborn, MI
- NPI 1346119088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1801646013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 MASON ST STE A220",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242246",
"telephone_number": "313-680-6104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 MASON ST STE A220",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242246",
"telephone_number": "313-680-6104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTUM",
"first_name": "ADNAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-22",
"last_updated": "2024-03-22",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302415764",
"primary": false
},
{
"code": "1835E0208X",
"taxonomy_group": "",
"desc": "Pharmacist, Emergency Medicine",
"state": "MI",
"license": "5302415764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.